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Questions and Answers

Which of the following is a strong indication for treatment of men with benign prostatic hyperplasia or bladder outflow obstruction?

  • Having a history of constipation
  • Having a residual urine of 50mL or less
  • Experiencing acute retention with no other cause (correct)
  • Experiencing occasional difficulty in micturition
  • Which of the following complications can occur due to bladder outflow obstruction?

  • Urinary incontinence
  • Stone formation (correct)
  • Inflammation of the prostate
  • Bladder cancer
  • What percentage of prostatectomies are performed for chronic retention and renal impairment?

  • 60%
  • 15% (correct)
  • 40%
  • 25%
  • When would a prostatectomy be required for hemorrhage?

    <p>When there is venous bleeding from a raptured vein overlying the bladder</p> Signup and view all the answers

    What symptoms are usually present in men who require elective prostatectomy for severe symptoms?

    <p>Difficulty starting urination and weak urine stream</p> Signup and view all the answers

    Study Notes

    Benign Prostatic Hyperplasia (BPH) and Bladder Outflow Obstruction

    • Post-void residual (PVR) urine volume > 300ml is a strong indication for treatment of men with BPH or bladder outflow obstruction.

    Complications of Bladder Outflow Obstruction

    • Chronic retention and renal impairment can occur due to bladder outflow obstruction.

    Prostatectomy Indications

    • Approximately 10% of prostatectomies are performed for chronic retention and renal impairment.
    • A prostatectomy is required for hemorrhage when the bleeding is severe and cannot be controlled by simpler means, such as cautery or transurethral resection of the prostate (TURP).

    Elective Prostatectomy for Severe Symptoms

    • Men who require elective prostatectomy for severe symptoms typically present with symptoms such as nocturia, frequency, urgency, and hesitancy.

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    Description

    Test your knowledge on the management of men with benign prostatic hyperplasia or bladder outflow obstruction. Learn about the strong indications for treatment, including acute and chronic retention, renal impairment, and more.

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